DR. RAYMOND LEE HOLSTEN (NPI# 1003810540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003810540 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND LEE HOLSTEN |
| Credential | MD |
| Practice Address |
467 Vista Avenue Page AZ 86040-1625 |
| Mailing Address |
Po Box 1625 Page AZ 86040-1625 |
| Practice Telephone | 9286458123 |
| Practice Fax Number | 9286453862 |
| Mailing Telephone | 9286458123 |
| Mailing Fax Number | 9286453862 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21867 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 145989 | 05 |
| Street Address |
467 VISTA AVENUE |
| City | PAGE |
| State | AZ |
| Zip Code | 86040-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103462 | Janeen Bjork | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1689021933 | Canyonlands Community Health Care | Pharmacy | 467 Vista Avenue, Page, AZ 86040 | 2016-05-17 |
| 1558609222 | Canyonlands Community Healthcare - Bh | Counselor | 467 Vista Avenue, Page, AZ 86040 | 2013-01-30 |
| 1982866554 | Danielle Pieri | Obstetrics & Gynecology | 467 Vista Avenue, Page, AZ 86040 | 2008-06-25 |
| 1619945904 | Canyonlands Community Health Care | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2006-03-10 |
| 1194729632 | Dennis James Foley | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1730183278 | Barbara M Zimmerman | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| 1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
| 1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
| 1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
| 1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
| 1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
| 1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
| 1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
| Find all providers in zip 86040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891817615 | E Pell Wadleigh Dds PC | Family Medicine | 436 Vista Ave, Page, AZ 86040-0002 | 2007-04-04 |
| 1639242969 | Eric P Wadleigh | Family Medicine | 436 Vist Ave, Page, AZ 86040-0002 | 2006-11-16 |
| 1578645602 | Canyon View Medical Center,ltd | Family Medicine | 601 N Navajo Dr, Page, AZ 86040-7050 | 2006-10-19 |
| 1669441564 | Canyonlands Community Health Care | Family Medicine | 440 North Navajo Drive, Page, AZ 86040-1625 | 2006-03-15 |
| 1932103462 | Janeen Bjork | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1841294378 | Michael J Demangone | Family Medicine | 463 S Lake Powell Blvd, Page, AZ 86040-0790 | 2005-06-13 |
| 1619945904 | Canyonlands Community Health Care | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2006-03-10 |
| 1538130109 | David Hipkin | Family Medicine | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-01-31 |
| 1194729632 | Dennis James Foley | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1730183278 | Barbara M Zimmerman | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| Find all providers in PAGE | ||||
Please comment or provide details below to improve the information on DR. RAYMOND LEE HOLSTEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.